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General NPI Number Information
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NPI Number | 1669764759
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Entity Type | Organization
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Legal Business Name | A.E.C.A. MEDICAL PLLC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 380 ROUTE 202
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City | SOMERS
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State | NY
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Zip | 10589-3222
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Country | US
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Telephone | 914-277-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 380 ROUTE 202
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City | SOMERS
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State | NY
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Zip | 10589-3222
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Country | US
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Telephone | 14-277-5550
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. LIVIU B SAIMOVICI
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Credential | M.D.
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Telephone | 914-277-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 154827
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License Number State | NY
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